CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Doctors Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $3,132
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Doctors Hospital is $3,132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.33x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,132

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)
Insurance Median: $3,132 (133%)
Ins. Median: $3,132 (133% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Peach State $1,150 49%
Wellcare $1,150 49%
Health One Alliance $1,776 75%
Blue Cross Blue Shield $2,134 - $2,825 91%
Americas 1St Choice $2,205 94%
Amerigroup $2,365 100%
Cigna $2,412 - $3,132 102%
Nhc Advantage $2,550 108%
Pruitt Health $2,550 108%
Blue Choice $3,641 - $5,462 154%
United $4,680 198%
Aetna $4,829 - $6,761 205%
Friday Health $5,023 213%
Prime Health $5,150 218%
Rockport United Network $5,257 223%
Identity Mco $5,364 227%
Centurion $7,512 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals